CHRISTIAN CARE SURPRISE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CHRISTIAN CARE SURPRISE INC (EIN 27-0919033)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-11
IRS object ID
201643169349302249
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-11T13:11:36-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11850 N CENTRAL AVE SUITE 400AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP850044527ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN270919033EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHRISTIAN CARE SURPRISE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHRIBusinessNameControlTxt
Phone6024435487PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12002 W SUNNYSIDE DRAddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85029ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALAN HIEBPersonNm
Person TitleCOOPersonTitleTxt
Phone6024435487PhoneNum
Signature2016-11-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRENDA BLUNT CPAPreparerPersonNm
PTINP00075126PTIN
Phone6022645844PhoneNum
Preparation2016-11-02PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CHRISTIAN CARE MANAGEMENT III INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJOHN NORRISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12002 W SUNNYSIDE DRAddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85029ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$0GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHRISTIANCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateAZLegalDomicileStateCd
Activity Or MissionAFFORDABLE RESIDENTIAL & ASSISTED LIVING FOR SENIORSActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$44PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$44PYTotalRevenueAmt
CY Total Revenue$0CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$0PYOtherExpensesAmt
CY Other Expenses$0CYOtherExpensesAmt
PY Total Expenses$0PYTotalExpensesAmt
CY Total Expenses$0CYTotalExpensesAmt
PY Revenues Less Expenses$44PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$0CYRevenuesLessExpensesAmt
Total Assets BOY$4,429,479TotalAssetsBOYAmt
Total Assets EOY$5,934,283TotalAssetsEOYAmt
Total Liabilities BOY$4,429,435TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,934,239TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$44NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$44NetAssetsOrFundBalancesEOYAmt
MissionMOTIVATED BY CHRISTIAN LOVE AND CONCERN, WE STRIVE TO PROVIDE QUALITY AND RESPONSIVE SENIOR HOUSING, HOSPITALITY AND HEALTHCARE SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$0ExpenseAmt
Revenue$0RevenueAmt
DescIN 2014 CHRISTIAN CARE SURPRISE ACQUIRED A PARCEL OF LAND SUITABLE FOR BUILDING A FELLOWSHIP SQUARE COMMUNITY IN SURPRISE ARIZONA. IN 2016 CHRISTIAN CARE SURPRISE IS FINALIZING BUILDING PLANS AND ACQUIRING FINANCING TO ENABLE FELLOWSHIP SQUARE SURPRISE TO BEGIN CONSTRUCTION.Desc
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldAZStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKATHI CONDONPersonNm
Phone6024435487PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 83210AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP850713210ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
LARRY D DAILY
DIRECTOR0.100.40Yes (X)$0$0$0
JAY MIHALEK
DIRECTOR0.100.40Yes (X)$0$0$0
CHRISTINE GUERIN
DIRECTOR0.100.40Yes (X)$0$0$0
SHARON JOHNSON-SHANNON
DIRECTOR0.100.40Yes (X)$0$0$0
EARL KRUEGER
DIRECTOR0.100.40Yes (X)$0$0$0
ROGER BLUMENTHAL
DIRECTOR0.100.40Yes (X)$0$0$0
FRANK SUNG
DIRECTOR0.100.40Yes (X)$0$0$0
JACK MARTIN
DIRECTOR0.100.40Yes (X)$0$0$0
THOMAS HARTZLER
DIRECTOR0.100.90Yes (X)$0$0$0
JOHN MCKINDLES
PAST PRESIDENT0.100.40Yes (X)$0$0$0Yes (X)
DONALD DEWITT
PRESIDENT0.100.90Yes (X)$0$0$0Yes (X)
GEOFFREY LEWIS
SECRETARY0.100.90Yes (X)$0$0$0Yes (X)
BARBARA CARR
1ST VICE PRESIDENT0.100.90Yes (X)$0$0$0Yes (X)
MARILYN METZGER
2ND VICE PRESIDENT0.100.90Yes (X)$0$0$0Yes (X)
ED FRENCH
TREASURER0.100.90Yes (X)$0$0$0Yes (X)
JOHN S NORRIS
CHIEF EXECUTIVE OFFICER1.0039.00$0$277,353$93,450Yes (X)
DAVID KLEMM
CHIEF FINANCIAL OFFICER1.0049.00$0$154,618$78,494Yes (X)
ALAN HIEB
CHIEF OPERATING OFFICER1.0039.00$0$218,669$20,152Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$650,640TotReportableCompRltdOrgAmt
Total Other Compensation$192,096TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REECE ANGEL ROWEBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line14343 E AVALON DRIVEAddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85018ZIPCd
FieldValueIRS element (for citing)
ServicesARCHITECTURAL SERVICESServicesDesc
Compensation$797,950CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,352BOYAmt
EOY$166,385EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$56,602BOYAmt
EOY$6,598EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,720,300LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,368,524BOYAmt
EOY$5,720,300EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1BOYAmt
EOY$41,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,429,479BOYAmt
EOY$5,934,283EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$114,847BOYAmt
EOY$82,822EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$1,075,000BOYAmt
EOY$1,275,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,952,200BOYAmt
EOY$2,886,765EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$100,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$287,388BOYAmt
EOY$1,589,652EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,429,435BOYAmt
EOY$5,934,239EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$44BOYAmt
EOY$44EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$44BOYAmt
EOY$44EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,429,479BOYAmt
EOY$5,934,283EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$0ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind
Public Support Total509$0PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$44CurrentTaxYearMinus1YearAmt
Total$44TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$44CurrentTaxYearMinus1YearAmt
Total$44TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$44CurrentTaxYearMinus1YearAmt
Total$44TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,734,928OtherCostOrOtherBasisAmt
Book Value$3,734,928BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,985,372OtherCostOrOtherBasisAmt
Book Value$1,985,372BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,720,300TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO RELATED PARTIESDesc
Amt$1,589,652Amt
FieldValueIRS element (for citing)
Total Liability$1,589,652TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationMANAGEMENT BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY INCOME TAX POSITIONS TAKEN, AND, AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract ExceptionYes (1)InitialContractExceptionInd
Rebuttable Presumption ProcYes (1)RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN S NORRIS
CHIEF EXECUTIVE OFFICER$0$257,990$0$1,218$0$18,145$0$7,950$0$85,500$0$370,803$0$0
DAVID KLEMM
CHIEF FINANCIAL OFFICER$0$82,671$0$0$0$71,947$0$6,135$0$72,359$0$233,112$0$0
ALAN HIEB
CHIEF OPERATING OFFICER$0$218,669$0$0$0$0$0$4,659$0$15,493$0$238,821$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4ASEVERANCE PAYMENT FOR DAVID KLEMM IN THE AMOUNT OF $29,645.56.
PART I, LINE 8ALAN HIEB'S COMPENSATION REPORTED ON PART VII WAS ALL PAID UNDER THE INITIAL CONTRACT PROVISIONS DESCRIBED IN REGULATIONS SECTION 53.4958-4(A)(3).
SCHEDULE J, PART I, QUESTION 3:THE ORGANIZATION RELIED ON A RELATED ORGANIZATION, CHRISTIAN CARE MANAGEMENT, INC., THAT USED THE FOLLOWING METHODS DESCRIBED IN QUESTION 3 TO ESTABLISH THE CEO'S COMPENSATION: COMPENSATION COMMITTEE (A.K.A. PERSONNEL COMMITTEE), FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, WRITTEN EMPLOYMENT CONTRACT, AND APPROVAL BY THE INDEPENDENT GOVERNING BOARD.
SCHEDULE J, PART II:AS MINISTERS, PART OF THE COMPENSATION PAID TO JOHN NORRIS AND DAVID KLEMM INCLUDES A HOUSING ALLOWANCE, WHICH IS APPROVED BY THE BOARD AND INCLUDED IN OTHER COMPENSATION IN COLUMN D. TOTAL COMPENSATION TO THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES REMAINS MODEST COMPARED TO SIMILAR INDUSTRY POSITIONS.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (8 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan To OrganizationLoanToOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
ED FRENCH
BOARD MEMBERFUND DEVELOPMENT OF A SENIOR HOUSING FACILITYYes (X)$300,000$300,0000Yes (1)Yes (1)
LIVING TRUST OF ESTHER FRENCH
CONTROLLED ENTITY OF BOARD MEMBERFUND DEVELOPMENT OF A SENIOR HOUSING FACILITYYes (X)$300,000$300,0000Yes (1)Yes (1)
JOHN NORRIS
CEOFUND DEVELOPMENT OF A SENIOR HOUSING FACILITYYes (X)$75,000$75,0000Yes (1)Yes (1)
AGN DEVELOPMENT CORP
CONTROLLED ENTITY OF OFFICERFUND DEVELOPMENT OF A SENIOR HOUSING FACILITYYes (X)$125,000$125,0000Yes (1)Yes (1)
GEOFFREY LEWIS
BOARD MEMBERFUND DEVELOPMENT OF A SENIOR HOUSING FACILITYYes (X)$175,000$175,0000Yes (1)Yes (1)
BARBARA CARR
BOARD MEMBERFUND DEVELOPMENT OF A SENIOR HOUSING FACILITYYes (X)$150,000$150,0000Yes (1)Yes (1)
JAY MIHALEK
BOARD MEMBERFUND DEVELOPMENT OF A SENIOR HOUSING FACILITYYes (X)$50,000$50,0000Yes (1)Yes (1)
FRANK SUNG
BOARD MEMBERFUND DEVELOPMENT OF A SENIOR HOUSING FACILITYYes (X)$100,000$100,0000Yes (1)Yes (1)
FieldValueIRS element (for citing)
Total Balance Due$1,275,000TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE, CONSISTING OF THE OFFICERS OF THE CORPORATION AND THE PAST CHAIRMAN OR PRESIDENT, ARE AUTHORIZED TO REPRESENT THE BOARD OF DIRECTORS IN NEGOTIATIONS WITH ANY AND ALL AGENTS REPRESENTING INTERESTED OR RELATED PARTIES. HOWEVER, THE COMMITTEE MAY NOT ENCUMBER OR OBLIGATE THE CORPORATION WITHOUT SPECIFIC CONFIRMATION FROM THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 3THE CEO, CFO, COO, AND HUMAN RESOURCE OFFICER ARE COMPENSATED BY CHRISTIAN CARE MANAGEMENT, INC. FOR PROVIDING OVERSIGHT OF THE DAILY MANAGEMENT OF THE ORGANIZATION. THE CORPORATION AND MANAGEMENT ENTERED INTO A MANAGEMENT AGREEMENT ON A MONTH-TO-MONTH BASIS UNDER WHICH THE CORPORATION IS TO PAY MANAGEMENT AND BOOKKEEPING FEES IN AN AMOUNT SPECIFIED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 6THE MEMBERSHIP OF THE CORPORATION IS COMPOSED OF AND LIMITED TO THE INDEPENDENT CHRISTIAN CHURCHES OF ARIZONA.
FORM 990, PART VI, SECTION A, LINE 7BTHE FEDERAL HOUSING COMMISSIONER INSURES THE DEED OF TRUST AND MUST APPROVE ANY CHANGES TO THE ARTICLES OF INCORPORATION.
FORM 990, PART VI, SECTION B, LINE 11THE CEO AND CFO WILL REVIEW COMPLETED FORM 990 AND PROVIDE A FINAL DRAFT TO THE GOVERNING BOARD ALLOWING FOR A COMMENT PERIOD BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, AND ANY OTHER PERSON WITH SUBSTANTIAL INFLUENCE ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE STATEMENT. PART OF THIS STATEMENT REQUIRES THEM TO SIGN AND CONFIRM THAT THEY HAVE READ AND UNDERSTOOD THE COMPANY'S CONFLICT OF INTEREST POLICY. THEY ALSO AGREE TO NOTIFY THE CHAIR OF THE BOARD OR PRESIDENT AND/OR THE CEO IMMEDIATELY IF THEY BECOME AWARE OF ANY POTENTIAL CONFLICTS. IF AN INDIVIDUAL HAS A CONFLICT, THEY ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION OF THE ISSUE AND THE VOTING PROCESS.
FORM 990, PART VI, SECTION B, LINE 15THE CEO AND COO ARE NOT COMPENSATED BY CHRISTIAN CARE SURPRISE, INC. THE CEO AND COO ARE COMPENSATED BY CHRISTIAN CARE MANAGEMENT, INC. FOR THEIR SERVICES PROVIDED TO ALL CHRISTIAN CARE COMPANIES. THEIR COMPENSATION IS DETERMINED BY LOOKING AT COMPARABILITY DATA THROUGH REVIEW OF FORM 990 OF OTHER ORGANIZATIONS AND COMPENSATION SURVEYS AND STUDIES. THE CEO'S COMPENSATION IS REVIEWED BY THE PERSONNEL COMMITTEE AND RATIFIED BY THE INDEPENDENT GOVERNING BOARD. THE COO'S COMPENSATION IS REVIEWED ANNUALLY ON HIS ANNIVERSARY DATE AND APPROVED BY THE CEO. THEIR COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN WRITTEN EMPLOYMENT CONTRACTS. THIS DOCUMENTATION IS PREPARED IN JANUARY OF EACH YEAR. THE CFO AND HUMAN RESOURCE OFFICER ARE NOT COMPENSATED BY CHRISTIAN CARE SURPRISE, INC. THE CFO AND HUMAN RESOURCE OFFICER ARE COMPENSATED BY CHRISTIAN CARE MANAGEMENT, INC. FOR THEIR SERVICES PROVIDED TO MULTIPLE CHRISTIAN CARE RELATED ENTITIES. THEIR COMPENSATION IS DETERMINED BY LOOKING AT COMPARABILITY DATA THROUGH REVIEW OF FORM 990 OF OTHER ORGANIZATIONS AND COMPENSATION SURVEYS AND STUDY. THEY DO NOT HAVE A WRITTEN EMPLOYMENT CONTRACT. THEIR COMPENSATION IS ALSO REVIEWED ANNUALLY ON THEIR ANNIVERSARY DATE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CHRISTIAN CARE MANAGEMENT INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029942756711MANAGEMENT SERVICES AND SUPPORT FOR CHRISTIAN CARE COMPANIESAZ501(C)(3)11BN/A0
CHRISTIAN CARE HOLDING COMPANY INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029860892946ENHANCING LIQUIDITY FOR CHRISTIAN CARE COMPANIESAZ501(C)(3)11BN/A0
CHRISTIAN CARE FOUNDATION
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029201239464SUPPORTING AND EXPANDING CHRISTIAN CARE'S MINISTRYAZ501(C)(3)11BN/A0
CHRISTIAN CARE ASSISTED LIVING (PHOENIX) INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029860828877AFFORDABLE ASSISTED LIVING FOR SENIORSAZ501(C)(3)9N/A0
CHRISTIAN CARE RETIREMENT APARTMENTS INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85030742455683AFFORDABLE RESIDENTIAL LIVING FOR SENIORSAZ501(C)(3)9N/A0
CHRISTIAN CARE MESA INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029860828879MIDDLE MARKET RESIDENTIAL & ASSISTED LIVING FOR SENIORSAZ501(C)(3)9N/A0
CHRISTIAN CARE TUCSON INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029860962052MIDDLE MARKET RESIDENTIAL AND ASSISTED LIVING FOR SENIORSAZ501(C)(3)9N/A0
CHRISTIAN CARE NURSING CENTER INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029860318085AFFORDABLE LONG-TERM CARE AND SKILLED NURSINGAZ501(C)(3)9N/A0
CHRISTIAN CARE MESA II INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029900067112MIDDLE MARKET RESIDENTIAL LIVING FOR SENIORSAZ501(C)(3)9N/A0
CHRISTIAN CARE MANOR I INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029860381939SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORSAZ501(C)(3)9N/A0
CHRISTIAN CARE MANOR II INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029860433280SUBSIDIZED HOUSING WITH ASSISTED LIVING FOR VERY-LOW INCOME SENIORSAZ501(C)(3)9N/A0
CHRISTIAN HOUSING MESA INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029953471692SUBSIDIZED HOUSING WITH ASSISTED LIVING FOR VERY-LOW INCOME SENIORSAZ501(C)(3)9N/A0
CHRISTIAN CARE MANOR III INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029742437015SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORSAZ501(C)(3)9N/A0
CHRISTIAN HOUSING COTTONWOOD INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029860775063SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORSAZ501(C)(3)9N/A0
CHRISTIAN CARE COTTONWOOD INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029860809772SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORSAZ501(C)(3)9N/A0
CHRISTIAN CARE COTTONWOOD III INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029860852384SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORSAZ501(C)(3)9N/A0
CHRISTIAN CARE COTTONWOOD IV INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029860898511SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORSAZ501(C)(3)9N/A0
CHRISTIAN CARE COTTONWOOD V INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029860943071SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORSAZ501(C)(3)9N/A0
CHRISTIAN CARE COTTONWOOD VI INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029861002178SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORSAZ501(C)(3)9N/A0
CHRISTIAN CARE COTTONWOOD VII INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029861020888SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORSAZ501(C)(3)9N/A0
CHRISTIAN CARE COTTONWOOD VIII INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029861045413SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORSAZ501(C)(3)9N/A0
CHRISTIAN CARE CALIFORNIA
PO BOX 83210PHOENIXAZ850713210330264173AFFORDABLE SENIOR HOUSING AND HEALTHCARECA501(C)(3)PF0CHRISTIAN CARE HOLDING COMPANY INC
CHRISTIAN CARE MANAGEMENT II INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029264242355CHARITABLE HEALTH AND/OR EDUCATIONAL ORGANIZATIONAZ501(C)(3)PFN/A0
CHRISTIAN CARE MESA III INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029203253081AFFORDABLE ASSISTED LIVING FOR SENIORSAZ501(C)(3)9N/A0
CHRISTIAN CARE MANAGEMENT IV INC
2002 W SUNNYSIDE DRIVEPHOENIXAZ85029471154405CHARITABLE HEALTH AND/OR EDUCATIONAL ORGANIZATIONAZ501(C)(3)9N/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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